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Comment
. 2023 Mar;71(3):1012-1015.
doi: 10.4103/IJO.IJO_2629_22.

Anterior lens capsule: Biological drape

Abhijeet Beniwal  1 , Rahul Kumar Bafna  2 , Namrata Sharma  1
Affiliations
Comment

Anterior lens capsule: Biological drape

Abhijeet Beniwal et al. Indian J Ophthalmol. 2023 Mar.

Abstract

Small perforations are often managed with cyanoacrylate glue - bandage contact lens (BCL). An additional layer with substances like sterile drape often enhances the strength of the glue. Herein, we describe a novel method of using anterior lens capsule as biological drape to secure perforation. The anterior capsule was secured from femtosecond laser-assisted cataract surgery (FLACS) and placed over the perforation after folding it twice. The area was dried and a small aliquot of cyanoacrylate glue was applied over it. The BCL was applied over it after the glue was dry. In our series of five patients, none of them needed repeat surgery and all cases healed by three months without vascularization. It is a unique technique to secure small corneal perforations.

Keywords: Anterior lens capsule; biological drape; cyanoacrylate glue.

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Conflict of interest statement

None

Figures

Figure 1
Figure 1
Surgical technique. (a) Removing the surrounding abnormal epithelium; (b) placing the anterior capsule at the defect; (c) margins of the wound dried with Weck-Cel sponges; (d) thin layer of cyanoacrylate glue applied with the backside of a Sinskey hook; (e) anterior chamber formed with 30-G needle; (f) bandage contact lens placed on the cornea
Figure 2
Figure 2
Postoperative and ASOCT images. (a) Postoperative image of same patient on day 01 showing well-formed anterior chamber with anterior capsule visible; (b) postoperative image after cyanoacrylate glue complex dislodgement; (c) and (d) ASOCT at three-month follow-up showing anterior capsule well integrated into the cornea
See this image and copyright information in PMC

Comment on

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